CDA On FHIR England - End of Life Care Document

COFE-MedicationOrder-1

This MedicationOrder Resource holds details of medications that have been discontinued or changed.

NameCard.TypeDescription & Constraints
..MedicationOrderMedicationOrderPrescription of medication for the patient

...identifier1..1IdentifierExternal identifier

....value1..1StringShall contain a DCE UUID
Example Value 25df2dc1-5633-42d0-abe9-bc569f4970b5

...status1..1Codeactive | on-hold | completed | entered-in-error | stopped | draft
Binding A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. (http://hl7.org/fhir/ValueSet/medication-order-status)
Binding Strength Required

...dateEnded0..1DateTimeWhen prescription was stopped

...reasonEnded0..1CodeableConceptWhy prescription was stopped
Binding The change of status of a medication, indicating whether the medication has been continued unchanged, is a newly added medication, or the original medication has been amended. (http://fhir.nhs.net/ValueSet/medication-change-type-1)
Binding Strength Example

....coding0..1CodingCode defined by a terminology system
Binding The change of status of a medication, indicating whether the medication has been continued unchanged, is a newly added medication, or the original medication has been amended. (http://fhir.nhs.net/ValueSet/medication-change-type-1)
Binding Strength Example

.....system1..1UriIdentity of the terminology system

.....code1..1CodeSymbol in syntax defined by the system
Binding The change of status of a medication, indicating whether the medication has been continued unchanged, is a newly added medication, or the original medication has been amended. (http://fhir.nhs.net/ValueSet/medication-change-type-1)
Binding Strength Example

.....display1..1StringRepresentation defined by the system

...patient0..1Reference (cofe-patient-1)Who prescription is for

....reference1..1StringRelative URL reference

....display0..1StringText alternative for the resource

...prescriber0..1Reference (cofe-practitioner-1)Who ordered the medication(s)

....reference1..1StringRelative URL reference

....display0..1StringText alternative for the resource

...encounter0..1Reference (cofe-encounter-1)Created during encounter/admission/stay

....reference1..1StringRelative URL reference

....display0..1StringText alternative for the resource

...reason[x]0..1CodeableConceptReason or indication for writing the prescription
Binding A code from the SNOMED Clinical Terminology UK coding system that describes a finding that is NOT a blood pressure, body weight ,height measurement, or temperature finding. (http://fhir.nhs.net/ValueSet/finding-snct-1)
Binding Strength Required

...note0..1StringInformation about the prescription

...medication[x]1..1CodeableConceptMedication to be taken
Binding Medication items listed in the Dictionary of Medicines and Devices (dm+d). (http://fhir.nhs.net/ValueSet/medication-item-snct-1)
Binding Strength Required

Path Name Binding Strength ValueSet
.MedicationOrder.status status Required http://hl7.org/fhir/ValueSet/medication-order-status
.MedicationOrder.reasonEnded reasonEnded Example http://fhir.nhs.net/ValueSet/medication-change-type-1
.MedicationOrder.reasonEnded.coding coding Example http://fhir.nhs.net/ValueSet/medication-change-type-1
.MedicationOrder.reasonEnded.coding.code code Example http://fhir.nhs.net/ValueSet/medication-change-type-1
.MedicationOrder.reason[x] reason[x] Required http://fhir.nhs.net/ValueSet/finding-snct-1
.MedicationOrder.medication[x] medication[x] Required http://fhir.nhs.net/ValueSet/medication-item-snct-1